The innovations may offer insurers an opportunity to offer new products, such as private insurer involvement with Medicaid, according to Gretchen Harders, a partner in Epstein Baker Green, a national health care and labor law firm. …

A few states appear to be pursuing waivers, Harders said. She said those states include Vermont, which is considering scrapping its exchange in favor of a single-payer system, and Arkansas, which is planning to get private insurers involved in its Medicaid program. In addition, California is seeking to allow undocumented immigrants to apply for health insurance under its state exchange.